Individual
MR. JESUS HUMBERTO VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
Mailing address
2113 E WHITTON AVE, PHOENIX, AZ 85016-6631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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